多媒体技术在慢性阻塞性肺疾病患者疾病管理中的应用研究  

Application of multimedia technology in disease management on patients with chronic obstructive pulmonary disease

作　　者：刘保萍[1] 李丽华[1] 邱志红[1] 张换春[1] 郭娟娟[1] 刘燕芳[1] 靳阳[1] Liu Baoping;Li Lihua;Qu Zhihong;Zhang Huanchun;Guo Juanjuan;Liu Yanfang;Jin Yang(Department of Respiratory Medicine, the General Hospital of North China Petroleum Administration Bureau, Renqiu, Hebei 062552, Chin)

机构地区：[1]华北石油管理局总医院呼吸内科,河北省任丘062552

出　　处：《中国基层医药》2018年第4期437-441,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：河北省卫生和计划生育委员会重点科技研究计划项目（20170939）

摘　　要：目的 探讨多媒体技术对慢性阻塞性肺疾病（COPD）患者疾病管理能力的影响.方法 采用随机数字表法将77例COPD患者分为对照组38例和观察组39例.对照组以授权教育为基础进行疾病教育和管理,观察组在授权教育的基础上联合多媒体技术进行COPD疾病教育和管理,干预时间为3个月,分别在干预前、干预3个月后采用自我管理量表、圣乔治呼吸疾病问卷（SGRQ）评价两组患者的自我管理能力和生活质量.结果 干预前两组自我管理能力、SGRQ评分差异均无统计学意义（均P〉0.05）.干预3个月后,观察组自我管理能力评分的症状管理、日常生活管理、情绪管理、信息管理、自我效能分别为（30.71±6.79）分、（42.10±5.92）分、（39.51±5.64）分、（30.92±6.08）分、（31.58±5.43）分,均明显高于对照组的（27.76±4.12）分、（39.31±5.11）分、（36.28±6.38）分、（28.39±4.70）分、（29.21±3.37）分,差异均有统计学意义（t=-2.299、-2.207、-2.348、-2.037、-2.299,均P〈0.05）;观察组SGRQ评分的呼吸道症状、疾病影响、活动受限分别为（40.87±7.27）分、（41.17±7.15）分、（40.48±5.91）分,均明显低于对照组的（44.7±8.13）分、（45.21±7.60）分、（43.60±5.87）分,差异均有统计学意义（t=2.199、2.395、2.321,均P〈0.05）.结论 以患者需求为基础使用先进的数字设备和演示设备的多媒体技术应用于COPD患者疾病教育和管理,为患者健康教育提供了有效的途径和模式,促进患者健康行为的建立和对自身疾病管理,显著改善患者自我管理能力和生存质量.Objective To investigate the effect of multimedia technology on disease management capability in patients with chronic obstructive pulmonary disease （COPD）.Methods 77 patients with COPD were randomly divided into control group （ 38 cases ） and observation group （ 39 cases ） .The control group was educated and managed on the basis of authorization education .While the observation group was cooperated with multimedia technology for COPD education and management , on the basis of authorization education .The intervention time lasted for 3 months.And the self -management capacity and quality of life of patients in the two groups were evaluated by utilizing self-management scale and St .George Respiratory Questionnaire （ SGRQ） respectively before intervention and 3 months after intervention .Results There were no statistically significant differences in self -management capacity and SGRQ score in all subjects before intervention （all P〉0.05）.After 3 months of intervention,the scores of self-management capacity on symptom management , daily life management , emotional management , information management and self -efficacy of the observation group were （30.71 ±6.79）points,（42.10 ±5.92）points,（39.51 ± 5.64） points,（30.92 ±6.08） points and （31.58 ±5.43） points,respectively,which were significantly higher than those in the control group [（27.76 ±4.12） points,（39.31 ±5.11） points,（36.28 ±6.38） points,（28.39 ± 4.70）points and （29.21 ±3.3）points],and the differences were statistically significant （t=-2.299,-2.207,-2.348,-2.037,-2.299,all P〈0.05）.The SGRQ scores of respiratory symptoms,disease effects and motion limitation of the observation group were （40.87 ±7.27） points,（41.17 ±7.15） points and （40.48 ±5.91） points, respectively,which were significantly lower than those in the control group [（ 44.7 ±8.13 ） points, （ 45.21 ± 7.60）points,（43.60 ±5.87）points],and the differences were statistically significant （t=2.199,

关 键 词：多媒体 肺疾病 慢性阻塞性 疾病管理 生活质量 

分 类 号：R473.5[医药卫生—护理学]